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首页> 外文期刊>BMC Endocrine Disorders >“I have got diabetes!” – interviews of patients newly diagnosed with type 2 diabetes
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“I have got diabetes!” – interviews of patients newly diagnosed with type 2 diabetes

机译：“我得了糖尿病！” –对新诊断为2型糖尿病的患者的访谈

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To be diagnosed with type 2 diabetes is a challenge for every patient. There are previous studies on patients’ experience in general but not addressing the increased cardiovascular risk and multifactorial treatment. The aim of this study was to explore the thoughts, experiences and reactions of newly diagnosed patients with diabetes to this diagnosis and to the risk of developing complications. Ten adults (7 men/3 women, aged 50–79) diagnosed with type 2 diabetes within the last 12?months were interviewed at a primary health care center in Sweden. An interview guide was used in the semi-structured interviews that were transcribed verbatim. The analysis was qualitative and inspired by systematic text condensation (Malterud). The text was read several times and meaning units were identified. Related meaning units were sorted into codes and related codes into categories during several meetings between the authors. Finally, the categories were merged and formed themes. We defined three main themes: Reaction to diagnosis, Life changes and Concerns about the future. Most patients reacted to the diagnosis without intensive feelings. Lifestyle changes were mainly accepted but hard to achieve. The patients’ major concerns for the future were the consequences for daily life (being able to drive and read) and concerns for relatives rather than anxieties regarding medical issues such as laboratory tests. There were considerable differences in how much patients wanted to know about their future risks. The results of this study might help to focus doctor-patient communication on issues highlighted by the patients and on the importance of individualizing information and recommendations for each patient.
机译：要被诊断出患有2型糖尿病，这对每个患者都是一个挑战。以前有一些有关患者总体经验的研究，但并未解决心血管疾病风险增加和多因素治疗的问题。这项研究的目的是探讨新诊断的糖尿病患者对该诊断以及发生并发症的风险的想法，经验和反应。在瑞典的一家初级保健中心，对最近12个月内被诊断出患有2型糖尿病的10名成人（7名男性/ 3名女性，年龄在50-79岁）进行了访谈。逐字记录的半结构化访谈中使用了访谈指南。该分析是定性的，并受到系统文本压缩的启发（Malterud）。文本被阅读了几次，并确定了单位。在作者之间的几次会议中，相关的意义单元被分类为代码，相关的代码被分类为类别。最后，类别被合并并形成主题。我们定义了三个主要主题：对诊断的反应，生活的变化和对未来的关注。大多数患者对诊断作出反应而没有强烈的感觉。人们普遍接受生活方式的改变，但很难实现。患者对未来的主要担忧是日常生活的后果（能够开车和阅读）以及对亲戚的担忧，而不是对诸如实验室检查等医学问题的担忧。病人想知道自己未来的风险有很大的差异。这项研究的结果可能有助于将医患沟通的重点放在患者强调的问题上，以及针对每个患者个性化信息和建议的重要性。

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